PMID- 12131233
OWN - NLM
STAT- MEDLINE
DCOM- 20020806
LR  - 20220321
IS  - 0029-6562 (Print)
IS  - 0029-6562 (Linking)
VI  - 51
IP  - 4
DP  - 2002 Jul-Aug
TI  - The Minnesota Living With Heart Failure Questionnaire: sensitivity to differences 
      and responsiveness to intervention intensity in a clinical population.
PG  - 209-18
AB  - BACKGROUND: The Minnesota Living With Heart Failure Questionnaire (LHFQ) is a 
      commonly used measure of health-related quality of life in persons with heart 
      failure. Researchers have questioned whether LHFQ is sensitive to subtle 
      differences and sufficiently responsive to clinical interventions because the 
      instrument has demonstrated variable performance in clinical trials. OBJECTIVES: 
      A secondary analysis was conducted to assess the LHFQ for sensitivity to 
      different clinical states and responsiveness to varying intensities of clinical 
      intervention. METHODS: A convenience sample of nine experimental or 
      quasi-experimental studies from eight clinical sites in the United States yielded 
      data from 1,136 patients with heart failure. Data in the studies had been 
      collected at enrollment and one, three, and/or six months later. Data were 
      analyzed using descriptive, univariate, and multivariate techniques. RESULTS: 
      Total and subscale scores on LHFQ were poorer in those with worse New York Heart 
      Association functional class, although there was no difference in LHFQ scores 
      between classes III and IV. No difference in LHFQ scores was found when patients 
      were classified by ejection fraction. Scores improved significantly following 
      hospital discharge, even in those in the control group. Changes in LHFQ scores 
      were greatest in those receiving high intensity interventions. CONCLUSIONS: The 
      LHFQ is sensitive to major differences in symptom severity but may not be 
      sensitive to subtle differences. It is responsive to high intensity 
      interventions. Investigators are cautioned against using this instrument without 
      first maximizing intervention power or without a control group for comparison.
FAU - Riegel, Barbara
AU  - Riegel B
AD  - School of Nursing, San Diego State University, California 92182-4158, USA. 
      briegel@mail.sdsu.edu
FAU - Moser, Debra K
AU  - Moser DK
FAU - Glaser, Dale
AU  - Glaser D
FAU - Carlson, Beverly
AU  - Carlson B
FAU - Deaton, Christi
AU  - Deaton C
FAU - Armola, Rochelle
AU  - Armola R
FAU - Sethares, Kristen
AU  - Sethares K
FAU - Shively, Martha
AU  - Shively M
FAU - Evangelista, Lorraine
AU  - Evangelista L
FAU - Albert, Nancy
AU  - Albert N
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Nurs Res
JT  - Nursing research
JID - 0376404
SB  - IM
EIN - Nurs Res 2002 Sep-Oct;51(5):291
MH  - Aged
MH  - Female
MH  - Heart Failure/classification/*psychology
MH  - Humans
MH  - Male
MH  - Minnesota
MH  - Nursing Research/methods
MH  - *Quality of Life
MH  - Sensitivity and Specificity
MH  - Severity of Illness Index
MH  - Surveys and Questionnaires
EDAT- 2002/07/20 10:00
MHDA- 2002/08/07 10:01
CRDT- 2002/07/20 10:00
PHST- 2002/07/20 10:00 [pubmed]
PHST- 2002/08/07 10:01 [medline]
PHST- 2002/07/20 10:00 [entrez]
AID - 10.1097/00006199-200207000-00001 [doi]
PST - ppublish
SO  - Nurs Res. 2002 Jul-Aug;51(4):209-18. doi: 10.1097/00006199-200207000-00001.